Individual
LESLIE BEAVERSON JACOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 W. UNIVERSITY BLVD, DURANT, OK 74701
(580) 740-0205
(580) 634-2848
Mailing address
1702 N. COMMERCE, ARDMORE, OK 73401
(580) 740-0205
(580) 634-2848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2816
OK
Other
Enumeration date
02/02/2012
Last updated
09/17/2025
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